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SLO 9 CESR: Support, Supervise, and Educate in Emergency Medicine
Emergency Medicine (EM) is a dynamic and challenging specialty that requires a comprehensive range of clinical and interpersonal skills. As part of the CESR (Certificate of Eligibility for Specialist Registration) pathway, SLO 9 (Support, Supervise, and Educate) outlines key capabilities expected of a specialist in this field. This article will provide an in-depth exploration of these capabilities, offer practical guidance for gathering evidence, and explain how you can demonstrate your competencies to support your CESR application.
Understanding SLO 9 in Emergency Medicine
SLO 9 in the CESR framework is designed to ensure that Emergency Medicine specialists are proficient in training, supervising, and educating colleagues at all levels. This includes mentoring junior doctors, supervising the clinical work of other healthcare professionals, and engaging in formal and informal teaching roles.
Key Capabilities for SLO 9
The key capabilities outlined for SLO 9 in Emergency Medicine are as follows:
Key Capability |
Description |
Training & Supervision |
Undertake training and supervision of Emergency Department (ED) team members in clinical settings. |
Teaching Sessions |
Prepare and deliver teaching sessions outside of clinical practice (e.g., simulation, small-group, didactic). |
Providing Feedback |
Deliver constructive feedback to colleagues and participate in debriefs. |
Mentoring and Appraisal |
Understand principles of mentoring and appraising junior doctors. |
In the following sections, we will break down these capabilities, offering a detailed guide on how to demonstrate your skills and experience effectively.
1. Training and Supervision in the Clinical Environment
As an Emergency Medicine specialist, part of your role is to provide supervision and training to colleagues in clinical settings. This involves overseeing the practice of junior doctors, medical students, and other ED team members. To demonstrate proficiency in this area, you should showcase:
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Clinical Supervision: Document your involvement in supervising the clinical work of team members. Include evidence of how you guide, assess, and support their decision-making in real-life clinical scenarios.
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Objective Summative Assessments: If you have not completed a formal summative assessment such as FRCEM, provide evidence of objective assessments that demonstrate your knowledge, skills, and experience (KSE).
Evidence Examples:
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MCR (Mandatory Competency Record)
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MSF (Multi-Source Feedback)
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360° Feedback
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Teaching Observation (TO)
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2. Preparing and Delivering Teaching Sessions
Beyond clinical supervision, you will also be expected to engage in teaching and training outside the clinical environment. This could include formal lectures, small group teaching, or simulation-based learning.
Key Areas to Focus On:
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Lectures and Didactic Teaching: Document any formal lectures or educational sessions you’ve delivered. Include information on the audience (e.g., junior doctors, medical students) and topics covered.
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Simulation and Small Group Work: Evidence of simulation sessions or small-group teaching is crucial, especially if these involve complex clinical scenarios.
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Non-Formal Teaching: For informal teaching, provide evidence of how you participate in educational activities, even when not formally timetabled.
Evidence Examples:
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Teaching Timetable showing your involvement in formal educational programs.
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Feedback Forms from participants, showing their response to your teaching methods.
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Educational Supervisor’s STR (Structured Teaching Record)
3. Providing Constructive Feedback
Effective feedback is a critical component of training in Emergency Medicine. As part of SLO 9, you need to demonstrate your ability to give constructive feedback to colleagues, helping them improve their clinical skills and professional behavior.
Key Considerations:
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Debriefs and Feedback Sessions: Provide evidence of how you have facilitated debriefs and given feedback after clinical cases or teaching sessions.
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Feedback Frameworks: Demonstrate your understanding of structured feedback models, such as SBAR (Situation, Background, Assessment, Recommendation) or Pendleton’s Model, and how you apply them in practice.
Evidence Examples:
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Teaching Observation Reports
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Peer Reviews
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Feedback and Evaluation Forms
4. Mentoring and Appraising Junior Doctors
Mentoring and appraising junior doctors is a vital part of your role in supporting the development of the next generation of Emergency Medicine professionals. You should be able to demonstrate that you understand the principles of mentoring and can provide effective mentorship.
Guidance for Mentorship and Appraisal:
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Mentoring Relationships: Describe your role in mentoring junior doctors. This could include one-on-one mentoring or group mentorship.
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Appraisal Evidence: Provide details of how you have participated in the appraisal of junior doctors, including any assessments or feedback you’ve given.
Evidence Examples:
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Redacted WPBAs (Workplace-Based Assessments)
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Letters of Recommendation or Appraisal Letters from colleagues or trainees.
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Educational Supervisor's STR
5. Communication Skills in Emergency Medicine
Effective communication is essential in Emergency Medicine, and SLO 9 emphasizes this within the context of training and supervision. You must show that you can communicate effectively both with your colleagues and with patients.
Communication with Colleagues:
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Collaborative Communication: Provide examples of collaborative case management with multidisciplinary teams, including letters or correspondence between you and colleagues.
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Organizing Rotas and Management: Evidence of managing staff rotas or organizing team activities can showcase your leadership and organizational communication.
Communication with Patients:
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Complaints Handling: Evidence of your involvement in responding to complaints, demonstrating your approach to handling difficult conversations.
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Feedback and Evaluation: Include 360° feedback or MSF as evidence of communication effectiveness in team settings.
Suggested Evidence for SLO 9
Here’s a summary table of the suggested evidence you should include to demonstrate your capabilities:
Evidence Type |
Description |
FRCEM or Equivalent |
Summative assessment or objective assessments if FRCEM is not available. |
MCR (Mandatory Competency Record) |
Evidence of your clinical competency in supervision. |
MSF (Multi-Source Feedback) |
Feedback from colleagues, patients, and trainees. |
Teaching Observation (TO) |
Records of observed teaching sessions. |
Educational Supervisor’s STR |
Structured Teaching Record detailing your teaching activities. |
Advanced Life Support Instructor |
Evidence of instructor roles in life-saving training. |
Feedback Forms |
Responses from trainees or colleagues evaluating your teaching and feedback. |
Conclusion
Successfully demonstrating your capabilities in SLO 9: Support, Supervise, and Educate is essential for your CESR application in Emergency Medicine. Through a combination of clinical supervision, teaching, providing feedback, and mentoring, you can show that you are not only a capable clinician but also a leader in education and team development.
For expert guidance and support in navigating the CESR application process, including SLO 9, visit CESRPortfolio.co.uk. Our team is here to help you every step of the way, providing expert advice on compiling your evidence and ensuring that your application is as strong as possible.
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